3020 MAPLEWOOD AVENUE
WINSTON SALEM, NC 27103

Phone: 336-768-9881

Location Details

• Practitioner spends 75% of time at this location.
  
• Days that practitioner sees patients at this location:
  Mon,Tue,Fri
  
• Non-English Languages spoken by Practitioner:
  German

222 W. MAIN STREET
ELKIN, NC 28621

Phone: 336-835-5006

Location Details

• Practitioner spends 25% of time at this location.
  
• Days that practitioner sees patients at this location:
  Thur
  


• Non-English Languages spoken by Practitioner:
  German,

Years in Active Clinical Practice Inside US/Canada: 23

Does Not Participate in the Virginia Medicaid program
Is not accepting new Medicaid patients

Is a Medicare Non-participating provider
Is accepting new Medicare patients

FORSYTH MEMORIAL HOSPITAL  WINSTON SALEM NC
ACTIVE
MEDICAL PARK HOSPITAL  WINSTON SALEM NC
ACTIVE
  

  

  

Grad School: University of Iowa College of Dentistry - Iowa City, Iowa
Year Completed: 1975

ORAL AND MAXILLOFACIAL SURGERY
UNIVERSITY OF NORTH CAROLINA
CHAPEL HILL, NC USA
Year Residency Completed: 1978

None Reported.

American Board of Oral and Maxillofacial Surgery

No Certifications on record.

Practitioners had the option of completing this section. This practitioner has not provided any information regarding honors and awards.

None Reported

None Reported

None Reported

None Reported

No discipline on record at the Board of Dentistry

The licensee has reported the following paid claims in the past ten years:
None Reported

Disclaimer: On this site you will find information about the dental practices of oral and maxillofacial surgeons registered in Virginia. The information on this site comes from two sources.

1) The following entries are taken from the database on licensees maintained by the DEPARTMENT OF HEALTH PROFESSIONS

• Name
• License number
• Date of issue
• Date of expiration
• Status
• Certification for cosmetic procedures
• Board of Dentistry Notices and Orders

2) The following entries are provided by the ORAL AND MAXILLOFACIAL SURGEON
A. Required information

• Practice information (location, telephone number, translating services, percentage of time spent at location(s)
• Education
• Years in active clinical practice
• Board Certifications
• Hospital affiliations
• Academic appointments
• Publications
• Medicaid participation
• Actions
• Felony convictions
• Paid claims in the most recent ten years

B. Optional information

• Non-emergency email address
• Insurance plans accepted or managed care plans in which he participates
• Hours of continuing education
• Subspecialties obtained
• Honors and awards received
• Maiden name
• Web site address
• Practice name in the practice location
• Days of the week as practice location
• Medicare information

An oral and maxillofacial surgeon is required to keep his profile current by recording any changes to the information within 30 days of the occurrence of the change. It is important to note that the Virginia Board of Dentistry does not verify the accuracy and timeliness of the information provided by the oral and maxillofacial surgeon but it will investigate any complaints about the accuracy of the profile information on current licensees. A licensee is only obligated to maintain his profile while he has a current active license.